HomeMy WebLinkAboutIPACHTE# �_s f�-$� Harnett County Department of Public Health 30050
Improvement Permit
Authorized State Agent:: -ti Date: SEE ATTACHED SITE SKETCH
The issuance of this permit by the Nealih Depar ment in na way guarantees s nco of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
The issuance of this permit by the heal ��Dpa, mi in
site is subject to revo nation if the site plan, plat. or the intended use changes. The Ira anent Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
the laws and Rules for Sewage Treatment and Disposal and w conditions of this permit..
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1951, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance
with the attached system layout.
ISSUED TO: SG"SN MN9V5 PROPERTY LOCATION: WooTEal Lia, ,G
SUBDIVISION LOT #
Facility Type: 5Fo (Lajo X140 �X New ❑ Expansion ❑ Repair
Basement? ❑ Yes 1< N$ Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System— ` �Q T G 8 5�� e �],FovVs s n, S J3_ s i 6� (Initial) Wastewater Flow: r -O 0 GPD
(See note below, if applicable ❑)
Pig e{vQ~To as��. R6o S -Y 9 (Repair)
Installation Requirements/Conditions Number of trenches S
Septic Tank Size T 6o d gallons Exact length of each trench 45b feet Trench Spacing: cl Feet on Center
Pump Tank Size 1 5 O gallons Trenches shall be installed on contour at a Soil Cover, e inches
Maximum Trench Depth of: I'9 inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/.I/4" 36' above the trench bottom)
in all directions)
Pump Requirements: ft. TDM vs. GPM inches below pipe
Aggregate Depth: inches above pipe
Conditions: inches total
WATER LINES (INICLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / understand the system type specified is different from the type spechfed on the app/ication. / accept the rpecii5cationr of th/r pefmit.
Representative Signature:
Date:
This construction Authonz r �m to revocation if the site plan, plat, or the intended use changes. The construction Authorization shall not be transferred when there is a change in ownership of the site. This
construction Authorization is subject to comp wi@.tAf provisions of the taws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent:Date:
struction Authorization Expiration
A building permit cannot be issued with only an Improvement Permit
SelS V)
PROPERTY LOCATION: 'TJ 4td-i w LsaN6
ISSUED T0: 's
PQ05
SUBDIVISION
LOT #
NEW;' REPAIR ❑
EMP
ON ❑ Site Improvements required prior to Construction Authorization Issuance:
SFO Type
Type of Structure:
> LN 00�
Proposed Wastewater System Type:
;u OV -T 0
5° r ova't e„zr:6M
Projected Daily Flow: —
"GPD
Number of bedrooms•.
Number of Occupants: Ya mac
Basement Dyes �Ao
Pump Required: es ❑ No
❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community
❑ Public
X Well Distance from well sOG feet Permit valid for.
XFive years
Permit conditions:
❑ No expiration
Authorized State Agent:: -ti Date: SEE ATTACHED SITE SKETCH
The issuance of this permit by the Nealih Depar ment in na way guarantees s nco of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
The issuance of this permit by the heal ��Dpa, mi in
site is subject to revo nation if the site plan, plat. or the intended use changes. The Ira anent Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
the laws and Rules for Sewage Treatment and Disposal and w conditions of this permit..
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1951, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance
with the attached system layout.
ISSUED TO: SG"SN MN9V5 PROPERTY LOCATION: WooTEal Lia, ,G
SUBDIVISION LOT #
Facility Type: 5Fo (Lajo X140 �X New ❑ Expansion ❑ Repair
Basement? ❑ Yes 1< N$ Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System— ` �Q T G 8 5�� e �],FovVs s n, S J3_ s i 6� (Initial) Wastewater Flow: r -O 0 GPD
(See note below, if applicable ❑)
Pig e{vQ~To as��. R6o S -Y 9 (Repair)
Installation Requirements/Conditions Number of trenches S
Septic Tank Size T 6o d gallons Exact length of each trench 45b feet Trench Spacing: cl Feet on Center
Pump Tank Size 1 5 O gallons Trenches shall be installed on contour at a Soil Cover, e inches
Maximum Trench Depth of: I'9 inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/.I/4" 36' above the trench bottom)
in all directions)
Pump Requirements: ft. TDM vs. GPM inches below pipe
Aggregate Depth: inches above pipe
Conditions: inches total
WATER LINES (INICLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / understand the system type specified is different from the type spechfed on the app/ication. / accept the rpecii5cationr of th/r pefmit.
Representative Signature:
Date:
This construction Authonz r �m to revocation if the site plan, plat, or the intended use changes. The construction Authorization shall not be transferred when there is a change in ownership of the site. This
construction Authorization is subject to comp wi@.tAf provisions of the taws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent:Date:
struction Authorization Expiration
HTE# N-S'y' (-I()
Harnett County
Permit # 300 �p
Department of Public Health
Site Sketch
PROPERTY LO(ATON: We
ISSUED TO: SG M Pb v S SUBDIVISION
Authorized State Agent: NS \OL\V TOLF�9allY
66r-s1L CC1 Cf CXL
oto FINA'L1�-� �`"4L6SG-
Sfx-%\U 0JC PN9
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Date: 5 I 1 cI Y'4
70
1A1 LLCM pN
G 00 G
1-W
LOT #
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated: �
Proposed Facility: rci C�r0r%5 Design Flow(. 1949): �� 0
Location of Site: Property Recorded:
Water Supply: ❑ Public[] Individual Well
Evaluation Method[)23 g. r Boring 0P it ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Satire
Class
.1944
Restr
Horiz
�vs
�
1-C-Ss%Ia
�N
tJ r��'�' i
W GC K3 6>1
ctL Al
16PLO 6
u
Description Initial Repair System Other Factors (.1946):
Systerp Site Classification (.1948): P�
Available Space (.1945) VEvaluated By:i_�
System Type(s)I]) I] Others Present:
Site LTAR -'-�